Dillingham, Andrew R

Dillingham, Andrew R is an individual health care provider with primary practice located at 505 W 15Th St , Pleasanton KS 66075-4095. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dillingham, Andrew R can be contacted via phone (913) 352-8214.

Contact Information

Primary practice address
505 W 15Th St Pleasanton KS 66075-4095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X T-LMLP 1394 Kansas

Profile Details

NPI number 1508154725
LBN Legal business name Dillingham, Andrew R
Credentials LMLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Aug 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508154725 NPPES
Kansas MEDICAID 200732040A

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